Spondyloarthropathy presenting as a polymyalgia rheumatica-like syndrome.
Two female patients, aged 57 and 58 year-old presented with pain and stiffness in shoulder and/or pelvic girdles and a high ESR, suggesting polymyalgia rheumatica (PMR). The lack of response to low dose of steroids prompted us to reconsider this diagnosis and, after a careful evaluation and taking into account past clinical history, a final diagnosis of spondyloarthropathy (SpA) was made. The clinical spectrum of late SpA is heterogeneous, and in some instances may present as a polymyalgia-like syndrome.
Ponce
A
A
Department of Rheumatology, Hospital Clínic i Provincial de Barcelona, Spain.
Sanmarti
R
R
Orellana
C
C
Muñoz-Gomez
J
J
D000894:Anti-Inflammatory Agents, Non-Steroidal / Q000627:therapeutic use; D001799:Blood Sedimentation; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D007267:Injections; D008775:Methylprednisolone / Q000627:therapeutic use; D008875:Middle Aged; D011111:Polymyalgia Rheumatica / Q000175:diagnosis* / Q000188:drug therapy; D013167:Spondylitis, Ankylosing / Q000175:diagnosis* / Q000188:drug therapy; D013256:Steroids / Q000008:administration & dosage
D000894:Anti-Inflammatory Agents, Non-Steroidal; D013256:Steroids; D008775:Methylprednisolone